Provider Demographics
NPI:1568542934
Name:JAIN, SHAILY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAILY
Middle Name:
Last Name:JAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAILY
Other - Middle Name:
Other - Last Name:JAIN
Other - Suffix:V
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2700 ASHBY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2135
Mailing Address - Country:US
Mailing Address - Phone:702-508-9461
Mailing Address - Fax:702-508-9461
Practice Address - Street 1:3615 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1842
Practice Address - Country:US
Practice Address - Phone:702-508-9461
Practice Address - Fax:702-508-9461
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV120002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry